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Louisiana rates for HCPCS 72200

Radiologic Examination Sacroiliac Jnts <3 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.34 / $10.39 / $13.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.01 / $34.78 / $56.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.73 / $9.85 / $13.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.41 / $24.49 / $43.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $29.50 / $29.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $19.05 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $42.30 / $51.32
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.49 / $12.17 / $15.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.57 / $31.61 / $38.03
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.62 / $7.62 / $8.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.62 / $31.64 / $56.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.19 / $9.27 / $15.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.42 / $23.78 / $41.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $33.08 / $51.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.00 / $9.44 / $14.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.60 / $23.46 / $35.19